LED Device Registration

Congratulations on recently purchasing a faceLITE, decoLITE or handLITE FDA 501K Cleared LED device! We fully guarantee our products. To register your new device, please complete this application.

Name of Device Owner / Purchaser

Please provide your name or the name of the person for whom you are registering this device:

First Name

Last Name

Current Date

YYYY

Date of Purchase

YYYY

Device Type

If you have purchased more than one device, you must submit a separate registration form for each device.

Serial Number

Seller Type

My device was purchased from:

Seller's Name

Who did you purchase the device from? Please provide the name of spa, practice, business or licensed professional that sold you your device.

Link to Sellers Website

http://

Owner's Phone Number

Please provide your phone number or the phone number of the person for whom you are registering this device:

Country

(###)

###

####

Sellers Zip Code

Please provide your zip code or the zip code of the person for whom you are registering this device:

Your Address

Please provide your address or the address of the person for whom you are registering this device:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Email

Please provide your email or the email of the person for whom you are registering this device:

I would like to receive:

Product Updates

Specials & Promotions

More Information on faceLITE USA and Refine USA Devices and Products that I have not purchased.